title: Major changes in medical careers following medical school graduation: when, how often, and why.
abstract: Knowledge of the timing of, reasons for, and frequency of major medical-career changes of medical school graduates is useful in considering physician manpower needs. This study reports aspects of the medical-career changes made by a cohort of Alberta medical school graduates who graduated from 1973-1985. Of the 603 (81%) who participated, 160 (27%) reported major medical career changes. Significantly more specialists (35%) than family physicians (18%) made major changes. Forty-two percent made changes during the first year of residency, 21% later in residency, and 29% after entering practice. Reasons cited included general dissatisfaction (47%), lifestyle compatibility (24%), and training and practice experiences (19%). This study indicates that while personal needs and preferences influence changes during residency, practice experience is also important to career choices.
authors.affiliation: Office of Medical Education, Faculty of Medicine, University of Calgary, Alberta, Canada.
authors.forename: P A
authors.initials: PA
authors.lastname: Jennett
authors.forename: M
authors.initials: M
authors.lastname: Kishinevsky
authors.forename: H
authors.initials: H
authors.lastname: Bryant
authors.forename: K L
authors.initials: KL
authors.lastname: Hunter
mesh_terms: D002170:Canada; D002321:Career Choice; D002322:Career Mobility; D010820:Physicians; D013997:Time Factors